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HomeMy WebLinkAbout0009415-Electric (service change) 40) CITY OF OSHKOSH N9 09415 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS (5 3 6 , yr n'��S o "`I PLAN NO. OWNER R / h-. b DESIGNER USE /NATURE OF WORK A a "L '''- a` v ,P . )c-i BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR —CO rot - -e.-/ Electric Serv. New ❑ Change temp ❑ Type tt Volts 91.0 Amps / Fixtures Switches Receptacles A_ Circuits , PLUMBING CONTRACTOR - BT WH Disp WSoft CBasin - Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ Cre mit Fee Paid $ 4o.— / Park Dedication $ ISSUED BY /K/1 � _i Date - er Final /O.P. 7 -" ?r In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE `� �)-- 'Z / AGENT /OWNER / DATE/ ADDRESS / TELEPHONE # PERMIT NO. ©f 1 7 / / a , •APP D TE 6 — 2 " ELEC. CONTR. A ' OWNER // �' / - i A,DDRESS fY3 -- 5e--7 N TURE OF WORK 4, 4" RV . CHAN ` • 1 ' . ! Y. — 0 /AM !!1*) F1P5- - : i . a G FIX'S RECEPT' .)< CIRC'S Dc APPLIANCES S IGNS RO GHIN SERVI FINAL P FAT T / PERMIT FEE € 9-0 -°-=----- DATE PD 7- #f ?SST x COST ��° REMARKS f